Monday, 14 July 2014

Bulldog Loadouts: The Physician Assistant Bag

Then, Lt P and I orientating ourselves to our new location.

Capt P, the American PA I worked with in a NATO camp during my most recent deployment to Afghanistan went to Yale University. The Yale football team is the Yale Bulldogs. In an homage to his varsity team, all the load list for medical gear were prefaced with the 'Bulldog" identifier. This is a series of articles on specific loadouts that we packed to support distinct roles within our camp emergency plan. There will be no coverage of the emergency plan or mass casualty plan in this series as the camp is still operational. The gear and supplies used were limited to the supply chain and represent best possible practice at that current time.

Physician Assistant Medical Bag

The intention of the Physician Assistant Layout was to
provide Advanced Airway Management and Advanced Trauma Life Support protocols within the confines of a NATO camp. It is NOT for missions
outside the wire.This layout is setup for the higher level of interventions
that the PA brings to a MASCAL or cas care within the permissive environment of an Afghan National Army garrison. Medications and kits
within this layout are highly personalized to the practitioner.

Outside of FR Bag

1. Trauma Shears on retractor attached to bag

2.

Bag Label and 9-Liner

3. Lid Upper Mesh Pocket

5 Sterile Kerlix Gauze

2 3” ACE wraps

2 6” Ace wraps

5 NATO casualty tags

4. Lid Lower Mesh Pocket

4 Combat Gauze™

2 4” CoTCCC/CCCWG approved dressing

1 6” ” CoTCCC/CCCWG approved dressing

1 OALES Modular Bandage™

Elastic Organizer/Pouch Divisions

3”tape

1”tape

3 HALO Chest Seals™

Sharps container

10 pairs of Nitrile Gloves

Small bottle Hand Sanitizer

6CoTCCC/CCCWG approved Decompression Needle

2 Red Glowstick

IR Glowstick as Buzzsaw

Pen or Sharpie™

6 CoTCCC/CCCWG approved Tourniquet

3 Triangle Bandages

SAM Splint™

CARPUJECT™

Minor wounds Pack

Zipper Pouch (under Elastic Organizer/Pouch Divisions)

3 1ml syringes w/needle

CARPUJECT™

5 3” x 8” Non-Adherent dressings

20 800mg Ibuprofen tabs

3 Pill Packs (800mg Ibuprofen, 1000mg Acetaminophen)

3. Airway

CRICKIT™

CholraPrep™

3 C Cell batteries

4 Surgical Lubrication pouches

2 OPAs

2 NPAs

1 disposable scalpel

3 tongue depressors

AIRWAY BUNDLE

6. Lower Mesh Pouch

CoTCCC/CCCWG approved Bag Valve Mask (BVM)

2 KING LT airways (size 4 & 5)

EASYCAP CO² Detector

Suction device

7.

Lower Mesh Pouch

1000ml N/S

2 500ml Hextend

3 NAR Saline Lock Kits™

4 15gtts IV Administration Kits

FAST IO™

ChloraPrep™

10ml syringe

18 gauge needle

8. Upper Mesh Pouch

10 Alcohol swabs

2 20ml syringes

4 10ml syringes

4 3ml safety syringes w/ needle

4 1ml syringes w/ needle

4 18 gauge needles

CARPUJECT™

H&H Chest Tube Kit™

3 Provodine-Iodine swabsticks

Stethoscope

Pelican Med Case (stored in Pharmacy)

Within main pouch:

BLIZZARD Survival Blankets™

4 SAM splints™

CoTCCC/CCCWG approved C-Collar

The choice of the Blackhawk STOMP 2 was logistical in nature. We had quite a few which allowed some uniformity in layout. There are a great many other bags we would have preferred but they were unavailable through the current supply chain. The colour selection was deliberate. We only had one ACU pattern medical bag. We only had one PA on post. It was selected for ease of rapid identification.

The concept of this layout was advanced airway interventions and advanced trauma life support at a physician assistant level in a permissive environment.

Usual Suspects

All rights reserved. Reproduction, adaptation, or translation without permission is prohibited except as allowed under the International copyright laws. All the text, graphics, design, content, and other works are the copyrighted works of Whiskey Delta Gulf